The Licensing Officer shall provide a standard application form for use for the registration of solicitors. Upon request to the Licensing Officer or as otherwise provided, any person or entity may obtain in person, by mail or facsimile a copy of this application form. Each application form shall require disclosure and reporting by the applicant of the following information, documentation and fee:
(A) Review of written disclosures- an affirmation that the applicant has received and reviewed the disclosure information required by this subchapter.
(B) Contact information.
(C) Applicant’s true, correct and legal name including any former names or aliases used during the last ten years.
(D) Applicant’s telephone number, home address and mailing address if different.
(E) If different from the applicant, the name, address and telephone number of the responsible person or entity.
(F) The address by which all notices to the applicant required under this subchapter are to be sent.
(G) (1) Proof of identity- verification by the Licensing Officer of the applicant’s true identity by use of any of the following which bear a photograph of the applicant:
(a) A valid driver’s license issued by any state;
(b) A valid passport issued by the United States;
(c) A valid identification card issued by any state;
(d) A valid identification issued by a branch of the United States military.
(2) Upon verification of identity, the original identification submitted to establish proof of identity shall be returned to the applicant.
(H) Proof of registration with Secretary of State- the applicant shall provide proof that either the applicant or the responsible person or entity has registered with the Indiana Secretary of State, if required by law.
(I) Special events sales tax number- the applicant shall provide a special events sales tax number for either the applicant or for the responsible person or entity for which the applicant will be soliciting.
(J) Marketing information.
(1) The goods or services offered by the applicant including any commonly known, registered or trademarked names;
(2) Whether the applicant holds any other licenses, permits, registrations or other qualifications required by federal or state law to promote, provide or render advice regarding the offered goods or services.
(K) CRC background check- the applicant shall provide an original or a copy of a CRC background check and a signed copy of a waiver whereby applicant agrees to allow the city to obtain name and date of birth for CRC background check on applicant for purposes of enforcement of this subchapter.
(L) Responses to questions regarding disqualifying status- the applicant shall be required to affirm or deny each of the following statements on the application form:
(1) Whether the applicant has been criminally convicted of:
(a) Felony homicide;
(b) Physically abusing, sexually abusing or exploiting a minor;
(c) The sale or distribution of controlled substances;
(d) Sexual assault/battery of any kind.
(2) Whether any criminal charges are currently pending against the applicant for:
(a) Felony homicide;
(b) Physically abusing, sexually abusing or exploiting a minor;
(c) The sale or distribution of controlled substances;
(d) Sexual assault/battery of any kind.
(3) Whether the applicant has been criminally convicted of a felony within the last ten years.
(4) Whether the applicant has been incarcerated in a federal or state prison within the past five years.
(5) Whether the applicant been criminally convicted of a misdemeanor within the past five years involving a crime of moral turpitude or violent, aggravated conduct involving persons or property.
(6) Whether a final civil judgment been entered against the applicant within the last five years indicating that the applicant had either engaged in fraud, intentional misrepresentation or that a debt of the Applicant was non-dischargeable in bankruptcy.
(7) Whether the applicant is currently on parole or probation to any court, penal institution or governmental entity, including being under house arrest, electronic home monitoring or subject to a tracking device.
(8) Whether the applicant has an outstanding arrest warrant from any jurisdiction.
(9) Whether the applicant is currently subject to a protective order based on physical or sexual abuse issued by a court of competent jurisdiction.
(Ord. 15-05-12, passed 6-12-12)